· Web view, to me known, who, being by me duly sworn, did depose and say that he/she/they reside(s) in _; that he/she/they is (are) _________

Bidder Response Forms

Group 79008 Bank Card ServicesElectronic Value Transfer

Request for Proposal # 22325

BID PROPOSAL COVER SHEET

PART I - TECHNICAL QUALIFICATIONS AND

SERVICE REQUIREMENTS*** Important - Failure to Furnish All Required Information may render the Bid Non-Responsive ***

Bidder’s Legal Name: ________________________________________________

Bidder’s Federal Identification No.: _____________________________________

Name of Preparer: __________________________________________________

Telephone Number of Preparer: _______________________________________

Signature:____________________________________

Name:_______________________________________

Title:_________________________________________

CORPORATE ACKNOWLEDGMENT

STATE OF : ss.:

COUNTY OF

On the _____________ day of ______________________in the year _____ , before me personally came: _______________________________________________________________, to me known, who, being by me duly sworn, did depose and say that he/she/they reside(s) in _________________________; that he/she/they is (are) _____________________________________________ (the President or other officer or director or attorney in fact duly appointed) of ___________________________________________, the corporation described in and which executed the above instrument; and that he/she/they signed his/her/their name(s) thereto by authority of the board of directors of said corporation.

________________________________________________Notary Public

Page 858/12/11

Bidder Response Forms Appendix E

Bid Submittal Checklist

The following checklist must be completed and submitted with each bid. Unless otherwise noted, all submissions are mandatory. Failure to respond or submit required information may render the bid non-responsive.

Format of Bid ProposalCheck to indicate compliance with each requirement.

Proposal is bound.Proposal is submitted in two (2) separately sealed parts:

Part I, Technical Qualifications & Service Requirements (i.e., response to Section VI)Part II, Financial Requirements (i.e., response to Section VII)

Proposal has a Table of Contents and indexed tabs for Part I, following the order set forth in the RFP.Proposal pages are numbered consecutively from beginning to end.Bidder has enclosed:1. Three written and signed originals of Part I, Technical Qualifications & Service Requirements2. Three written and signed originals of Part II, Financial Requirements3. Five electronic diskette containing Part I, Technical Requirements, labeled with Bidder name, RFP # and “Part I”4. Five electronic diskette containing Part II, Financial Requirements, labeled with Bidder name, RFP # and “Part II”Bidder has completed all information and provided original signatures as appropriate on the:1. Request for Proposal Form (page 2)2. Mandatory Contractor Questionnaire (Appendix E)

MacBride Certification Non-Collusive Bidding Certification Submitted Documentation Establishing Legal Status Submitted List of Directors, Officers, etc.

Bidder has completed and submitted Affirmations for Qualifying Technical Requirements (Appendix E)

Bidder has completed and submitted Responses for Technical Requirements (Appendix E) Extraneous Terms are fully detailed in a separate section of the Bid Proposal (Tab #3).

Table of Conflicting Association Rules completedAffirmation that all known conflicts between Association Rules & RFP have been included.Bidder agrees to extend use of contract in accordance with RFP, Appendix B, Clause 39 (c )

ST-220 - NY State Taxation and Finance FormsST-220-CA is enclosedST-220-TD sent to NY State Taxation and Finance DepartmentBidder will provide within 5 business days of written request by OGS

Vendor Responsibility Questionnaire for-profit businesses. Bidder has filed the Vendor Responsibility Questionnaire on-line If Bidder submitted on-line, certification (or recertification) is less than six months old. Bidder has submitted a hard copy of the Vendor Responsibility Questionnaire

Workers Compensation Requirements Bidder has submitted current NY State Workers Compensation Insurance and Disability

certificates. Bidder has submitted a NY State exemption certificate. Bidder will provide within 10 business days of written request by OGS

Page 868/12/11


MANDATORY CONTRACTOR QUESTIONNAIRE[BIDDER MUST ANSWER ALL QUESTIONS]

Page 1 of 4

1. Are you a New York State resident business? Yes_____ No_____

2. Total number of people employed by your firm:

3. Total number of people employed by your firm in New York State:

4. Is your company independently owned and operated? Yes_____ No______

5. Place of manufacture or development of Product(s) offered(Please indicate “Yes” or “No” for A, B or C):

A. All NYS manufacture/development? OR

B. All manufactured/developed outside NYS? OR

C. Manufactured/developed in NYS and outside NYS?

Yes_____

Yes _____

Yes_____

No______

No______

No______

6. Is your firm at least 51% owned and controlled by women, or 51% owned and controlled by minority group members, i.e., Black Hispanic, Asian, Pacific Islander, American Indian, Alaskan Native?

If yes, _____Minority Owned ______Women Owned

If yes, have you been certified or registered? ____Yes _____No

If yes, List certification or registration authority:__________________________________________________

Yes_____ No______

7. Do any of the Products offered herein incorporate recycled materials? Yes_____ No____ N/A___

8. Do any of the Products offered herein contain remanufactured components? Yes_____ No____ N/A ___

9. Are any of the Products offered herein Energy Star Compliant?

If yes, which Products?__________________________________________

Yes_____ No____ N/A ___

10. BIDDER/OFFERER DISCLOSURE OF PRIOR NON-RESPONSIBILITY DETERMINATIONSPursuant to Procurement Lobbying Law (SFL §139-j)

A. Has any Governmental Entity made a finding of non-responsibility regarding the individual or entity seeking to enter into the Procurement Contract in the previous four years?

Yes_____ No____ N/A ___

If yes, please answer the following:

question:B. Was the basis for the finding of non-responsibility due to a violation of State Finance Law §139-j?

Yes_____ No____ N/A ___

Page 878/12/11


C. If yes, was the basis for the finding of non-responsibility due to the intentional provision of false or incomplete information to a governmental entity?

Yes_____ No____ N/A ___

If yes, please provide details regarding the finding of non-responsibility:

Governmental Entity: ________________________

Date of Finding of Non-responsibility: ________________________ Basis of Finding of Non-Responsibility:

(add additional pages if necessary)D. Has any governmental agency terminated or withheld a procurement

contract with the above-named individual or entity due to the intentional provision of false or incomplete information? Yes_____ No______

If yes, please provide details:

Governmental Entity: _________________________Date of Termination or Withholding of Contract: _________________________

Basis of Termination or Withholding:(add additional pages if necessary)

_________________________

Signature: _________________________Printed Name: _________________________

Date: _________________________

11. Are prices quoted the same as or lower than those quoted other corporations, institutions and government agencies (including GSA/VA contracts) on similar products, quantities, terms and conditions? See "Best Pricing Offer" in Appendix B, OGS General Specifications.If "NO", please explain on a separate sheet.

Yes_____ No______

A. Do you have a contract with the General Services Administration (GSA) or Veterans Affairs (VA) for products offered? (Check all that apply.)

GSA

Yes_____ No______

VA

Yes_____ No______B. If yes, will you offer New York State your GSA or VA

pricing or better? GSA

Yes_____ No______

VA

Yes_____ No______C. If yes, a copy of the GSA or VA schedule is required.

Have you included a copy? GSA

Yes_____ No______

VA

Yes_____ No______12. Will you offer a Cash Discount for payment within 15 days of delivery

and/or receipt of voucher?Yes_____

_____ %

No______

13. Will you offer a Cash Discount for payment within 30 days of delivery and/or receipt of voucher?

Yes_____

_____ %

No______

Page 888/12/11


BIDDER IS REQUIRED TO SIGN BOTH SECTIONS BELOW

MacBride Certification

NON-DISCRIMINATION IN EMPLOYMENT IN NORTHERN IRELAND:MACBRIDE FAIR EMPLOYMENT PRINCIPLES

In accordance with Chapter 807 of the Laws of 1992 the bidder, by submission of this bid, certifies that it or any individual or legal entity in which the bidder holds a 10% or greater ownership interest, or any individual or legal entity that holds a 10% or greater ownership interest in the bidder, either: (answer yes or no to one or both of the following, as applicable),

(1) have business operations in Northern Ireland,

Yes___ or No ___if yes:

(2) shall take lawful steps in good faith to conduct any business operations they have in Northern Ireland in accordance with the MacBride Fair Employment Principles relating to nondiscrimination in employment and freedom of workplace opportunity regarding such operations in Northern Ireland, and shall permit independent monitoring of their compliance with such Principles.

Yes ___ or No ___

__________________________________ __________________________ (Bidder’s Signature) (Name of Business)

Non-Collusive Bidding Certification

NON-COLLUSIVE BIDDING CERTIFICATION

By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and in the case of a joint bid each party thereto certifies as to its own organization, under penalty of perjury, that to the best of his knowledge and belief:

(1) The prices in this bid have been arrived at independently without collusion, consultation, communication, or agreement, for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor;

(2) Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to opening, directly or indirectly, to any other bidder or to any competitor; and

(3) No attempt has been made or will be made by the bidder to induce any other person, partnership or corporation to submit or not to submit a bid for the purpose of restricting competition.

__________________________________ __________________________ (Bidder’s Signature) (Name of Business)

Page 898/12/11


Contact Information (for Contract Administration Purposes)

Company Name:Company Headquarters Address:

(From first page of Contract)

FEDERAL ID #:Type of Company:

(Legal entity for contractual purposes)

Corporation Partnership Joint Venture Other (explain)

If Joint Venture Name of Lead Entity: _______________________________________

Provide documentation establishing the legal status of the Bidder (See VI.1.A Attach a list of ALL directors, officers, members, partners, joint venturers, etc. of Bidder (See VI.1.A)2. CONTRACT ADMINISTRATION

Contract Administrator Name:Title:

Mailing Address:

“Toll” Free Phone Number:Telephone Number:

E-mail:FAX:

3. SALES/BILLING Contact Name:

Title:Address:

Telephone Number:E-mail:

FAX:4. HELP DESK/ SERVICE

Contact Name:Title:

Address: E-mail:

WWW Address:Telephone Number: FAX:

Contract “Toll” Free Support Phone Number: Hours of Availability:

Page 908/12/11


Bidder’s Response to Qualifying Technical Requirements (Pass / Fail)

In addition to providing the following affirmations, Bidder must respond to the requirements as specified in this RFP. Responses should follow this document in Tab #1. A Microsoft Word® version of this Response Form is available on the OGS website at http://www.ogs.state.ny.us/purchase/Bidcalendarlv.asp

Technical Requirements – Qualifying Criteria Bidder’s Affirmation

Section III.12, Additional Contract ConditionsBidder agrees to conform to and comply with all local, state and federal statutes and regulations governing Authorized Users and their contractors throughout the contract term.

Yes No

Section VI.1.A, Qualified BidderBidder can provide all Financial Services Processing and Transaction Interface services requested. The Bidder affirms it provides Credit/Charge Card and On-line and Off-line Debit Card processing services. All other services can be provided by prospective subcontractors of the Bidder.

Yes No

Section VI.1.B.1, Authorized Financial Services Processing Provider

Bidder affirms that it meets all applicable PCI DSS standards.Yes No


Bidder affirms authorization to provide FSP services for Credit/Charge Cards and Debit Cards.

Yes No


Bidder agrees to seek authorization for future payment devices requested by Authorized Users.

Yes No


Bidder affirms that all Transaction Interfaces to be provided under the Contract are certified by the Bidder for FSP processing.

Yes No


Bidder affirms that that they will work with Authorized User and their contractors to develop and maintain interfaces between such entities and the Bidder for the purpose of capturing, processing, reporting and reconciling electronic value transfer transactions.

Yes No

Section VI.1.B.4,a & b, Financial Services Processing Bank (Member)

Bidder affirms that the bank to be utilized for processing electronic payment transactions is a State or Federal Chartered bank with a branch in New York State.

Yes No

Section VI.1.B.4,c, Financial Services Processing Bank (Member)Bidder affirms that the bank to be utilized for processing electronic payment transactions has an organization rating of at least 30 as published in the most current issue of Sheshonoff’s Banking Organization Quarterly or a LACE Financial Rating of at least C+, a Moody’s rating of BAA, a Fitch rating of BBB or a Standard & Poors rating of BBB.

Yes No

Page 918/12/11

http://www.ogs.state.ny.us/purchase/Bidcalendarlv.asp



Section VI.1.B.4,d, Financial Services Processing Bank (Member)Bidder affirms that the necessary steps will be taken upon award of a contract to file with the Office of the State Comptroller a “State of New York Undertaking for Bank Deposits and Assignment Securities” and that such filing will be maintained throughout the term of the contract.

Yes No

Section VI.1.C.2 Financial Statement SummaryBidder affirms to include for the Bidder and any subcontractor, audited or reviewed financial statements for the last three years (or covering the period from the creation of the entity if less than three years), prepared by a CPA in conformance with GAAP.

Yes No

Section VI.1.C.2 Financial Statement SummaryBidder affirms to provide copies of any parent or subsidiary of the Bidder and subcontractors audited or reviewed financial statements for the last three years (or covering the period from the creation of the entity if less than three years), prepared by a CPA in conformance with GAAP, upon request by OGS.

Yes No

Section VI.1.D. Use of SubcontractorsBidder affirms to comply with the ”Use of Subcontractors” requirements. Yes No

Section VI.2.A.1.a, FSP ServicesBidder affirms to be able to process the following types of electronic payments: (1) Credit/Charge Cards and (2) On-line and Off-line Debit Cards.

Yes No

Section VI.2.A.2, Types of Card-Based Electronic PaymentsBidder accepts the four nationally recognized Credit/Charge Cards, Off-line Debit Cards and national and regional On-line Debit Cards networks and other forms of card-based electronic payment devices as may be added during the contract term.

Yes No

Section VI.2.A.4.a & b, Statutory Notice Requirements for State AgenciesBidder agrees to support processing of transactions in a manner that enables Authorized Users to notify Device Users of any Surcharge and/or Convenience Fee and agrees to support separate transactions for the underlying amount of the transaction and the surcharge/convenience fee.

Yes No

Section VI.2.A.5.a, Payment DevicesBidder agrees to provide and support financial processing services and data exchanges through the listed data capture/transmission devices and other devices as may be added upon mutual agreement of the parties.

Yes No

Section VI.2.A.5.d, Authorized User Unique FieldBidder agrees to support the provision of a 20 character alpha-numeric unique field at the option of the Authorized User.

Yes No

Section VI.2.A.8, ReportingBidder recognizes and agrees to provide only the appropriate reporting information specific to each Authorized User in the format and timeframe required. Yes No

Page 928/12/11



Section VI.2.C.1, TrainingBidder agrees to develop and implement a New York State specific training program covering initial and follow-up training, to include on-site training at locations designated by the Authorized reseller to include requirements detailed in this RFP.

Yes No

Section VI.2.D.1, Method of Payment of Contractor FeeBidder agrees to receive reimbursement through (1) invoicing, (2) Surcharge or Convenience fees to Device Users, (3) Deduction Net-Billing and (4) Direct ACH Debit. Yes No

If your system cannot currently accept ACH payments, indicate if your system can be modified to interface with the State Comptroller’s system. Confirm such change would be at no cost to the State.

Yes No

Section VI.2.D.3.C.1a Security PlanBidder affirms that they have a Security Plan in place.

Yes No

Section VI.2.D.3.C.3 Internal Control PlanBidder affirms that they have an Internal Control Plan in place.

Yes No

Section VI.2.D.3.C.4 Business Continuity Disaster RecoveryBidder affirms that they have a Business Continuity Disaster Recovery Plan in place. Yes No

Section VI.2.D.3.C.5 Implementation PlansBidder agrees to the terms and conditions in this section. Yes No

Page 938/12/11


Bidder’s Response to Technical Requirements

Bidder should refer to the RFP for detailed Technical Requirements and Specifications when preparing their bid responses. The following tables are provided as a convenience for preparing responses. The information provided only summarizes the Technical Requirements and the associated Specifications. The Bidder should refer to the detailed requirements as specified within the text of the RFP. The following response forms were prepared to facilitate the review process. The sections are basically arranged in order of the RFP. A Bidder should prepare their responses to the sections designated as Technical Requirements using the table below. A Microsoft Word® version of these Response Forms are available on the OGS website at: http://www.ogs.state.ny.us/purchase/Bidcalendarlv.asp.

VI.1.B.3. Mandatory

Technical Requirement – Working with Contractors SpecificationThe Bidder must agree to work with Authorized User and their contractors to develop and maintain interfaces between such entities and the Bidder for completing electronic value transfer transactions, producing necessary reports, and supporting reconciliation requirements. Bidder responses must include their procedures and/or requirements for developing and/or approving interfaces identifying any mandatory requirements or approval steps to be followed. These procedures must facilitate the acceptance of Electronic Value Transfer transactions from Authorized User and their contractors throughout the term of the Contract.Response

VI.1.C.1.Mandatory

Technical Requirement – Executive SummarySpecificationThe Bidder shall provide an executive summary including profiles of its operations and qualifications. These profiles shall outline the Bidder’s and its prospective subcontractors’ operations and technical qualifications and experience relevant to the performance of the contract. These profiles should include: locations (including but not limited to primary location, additional processing centers, backup sites, etc.), corporate and organizational structures using organizational charts, areas of expertise and overall experience with Financial Services Processing and Transaction Interfaces. The executive summary shall also include an overview, including diagrams, to their approach to providing service requirements contained herein, highlighting the strengths and capabilities of the Bidder to provide such services.Response

Page 948/12/11


VI.1.C.3Mandatory

Technical Requirement – Network/Physical PlantSpecificationBidder shall provide a clear and comprehensive description of the Financial Services Processing network that is proposed for use. Included in this description shall be information concerning the ownership, capacity, backup, recovery, redundancy and performance record of the network. Submit any diagrams or charts that may be appropriate.

Include the following information in the proposal for the proposed Credit/Charge Card network:a. Ownership: detail whether the network is proprietary or subcontracted, provide the name and address of

subcontractor(s). b. Capacity: provide the number of transactions per second currently being performed and the maximum

number of transactions per second that the network is capable of performing.c. Redundancy: describe any redundancy within the network. d. Performance: provide the total number of hours of downtime the network has had in the last year and the

average annual downtime over the last three (3) years. Separately state the number of hours of downtime included in last year’s figure that was planned downtime for maintenance and those hours that were unplanned downtime.

Include the following information in the proposal related to On-Line Debit card processing:a. The national On-Line Debit card networks which the Bidder is currently processing transactions through,

identifying which national networks the Bidder is proposing to utilize under the Contract.b. The regional and local On-Line Debit card networks which the Bidder is currently processing transactions

through, identifying which regional and local networks the Bidder is proposing to utilize under the Contract.Response

VI.1.C.4.Mandatory

Technical Requirement – Relevant Work ExperienceSpecificationThe proposal must list and describe the Bidder’s relevant work experience in specific projects and contracts involving provision of Financial Services Processing and Transaction Interfaces to large governmental entities (i.e., federal or state governments or their subdivisions). Descriptions should include the size, scope and duration of each project, specifying the time period the work was performed. If the Bidder has no prior large governmental experience, the Bidder should furnish information for similarly sized large commercial entities, small governmental entities (i.e., local government or their subdivisions) or similarly sized small commercial entities.Response

VI.1.C.4.Mandatory

Technical Requirement - ReferencesSpecificationThe Bidder must provide a minimum of three, and a maximum of five, references for Financial Services Processing and Transaction Interfaces including contact name, current phone number, address of customer or client account and a brief description of the scope of services performed and the time period the work was performed. The order of preference for the types of projects for the references are: large governmental entities, large commercial entities, small governmental entities and small commercial entities.

Page 958/12/11


Response

VI.1.C.5Mandatory

Technical Requirement – Key Personnel and Organizational ResourcesSpecificationThe Bidder must document its ability to provide qualified staff and other personnel resources to successfully provide the required services. The following information regarding qualifications of key Bidder and prospective subcontractor personnel must be provided: Key personnel should be listed in order of their position of responsibility relative to electronic payment

processing. Relevant qualifications, business experience and technical expertise for all key personnel should be

provided. This section should identify how the relevant qualifications or special expertise of each individual will enhance performance of the Contract. Information provided shall include: certifications held, educational qualifications and relevant experience for the past three years for key personnel should be included as an attachment.

Specific functions for each key personnel member and how they will perform including the percentage of time that will be devoted to the Contract and the degree of management, oversight or direct supervisory responsibility that each individual will have under the Contract shall be provided by the Bidder.

The Bidder may not replace identified key personnel without prior written notification to OGS Procurement Services Group (PSG) at the address listed in Section III.1 of this RFP. Any replacement must have equal or greater qualifications than the individual replaced.Response

VI.1.E. Desirable

Technical Requirement – Qualifications and Additional Information SpecificationThe Bidder should note other qualifications or additional information that it believes would be of importance to the State in determining that the Bidder is qualified. All statements made must be able to be independently verified by the State.Response

VI.2.A.1.b.Desirable

Technical Requirement – Additional FSP Services SpecificationThe Bidder should describe its’ commitment to providing and supporting additional payment options using alternative technologies such as Internet payment alternatives (including payments made through e-mails), Stored Value Cards, micro-payments, and any other paperless transactions that may be made available under the Contract at a future time. The Bidder should discuss its plans to process Contactless Payments, including personal services and financial resource commitment to accept Contactless Payments, card utilization analysis and anticipated date to begin accepting Contactless Payments.

Page 968/12/11


Response

VI.2.A.3.bMandatory

Technical Requirement – Surcharge and Convenience Fee Rules SpecificationThe Bidder must indicate in its proposal, for informational purposes only, under which condition(s) (i.e., by device type and accepted payment methods), Card Association rules permit Surcharge and/or Convenience Fees and identify those transaction types which can use this optionResponse

VI.2.A.4.b.Mandatory

Technical Requirement – Connectivity and InterfacesSpecificationThe Bidder must provide a description of the types of connectivity alternatives available and interfaces supported

between the Authorized User and the Bidder’s system, including, but not limited to, dial-up, leased lines, ISDN, Host-to-Host (dial-up batch), wireless (cellular) and satellite. The Bidder must provide a detailed description of the connectivity alternatives available to support on-line payment processing from Authorized User Internet applications, identifying if on-line payments will be processed on Authorized User Web Sites or if another Web Site would need to be accessed to process transactions. For informational purposes, discuss the security features and response times for these connectivity alternatives.

The Bidder must affirm that Bidder has connectivity and interfaces that will enable Authorized User to acquire Payment Gateway Services.

Bidder must list Payment Gateway Service Providers for which Bidder has an existing business relationship.

Response

VI.2.A.4.cMandatory

Technical Requirement – User Documentation SpecificationThe Bidder must affirm that Bidder will provide, post award, User Documentation to be used by Authorized User in processing Credit/Charge Cards and On-line and Off-line Debit Cards including: formatting requirements, record layouts, applicable edits and validations.

Page 978/12/11


Response

VI.2.A.4.d.Mandatory

Technical Requirement – Authorized User Unique Field Specification The Bidder must describe the planned methods for using an Authorized User Unique Field for each of the data capture/transfer devices listed under Section VI.2.A.5.a, as applicable, and for each type of electronic payment (i.e., Credit/Charge Cards, On-line and Off-line Debit Cards). If available, the Bidder should provide their procedures for using an Authorized User Unique Field.

Response

VI.2.A.4.e.Mandatory

Technical Requirement - Testing SpecificationBidder must provide to each Authorized User, at no additional cost, testing of all card-based payment types (i.e., Credit/Charge Cards and On-line and Off-line Debit Cards) through each of the data capture/transfer devices listed under Section VI.2.A.5.a. Bidder must describe their methodology and procedures for testing acceptance of card and non-card payments through each of the payment devices, including a description of the testing environment and data.Response

Page 988/12/11


VI.2.A.5.a. Mandatory

Technical Requirement – Credit/Charge Cards and On-Line/Off-Line Debit Card TransactionsSpecificationThe Bidder must describe:

i. The timeframe for processing/receiving authorizations by device type. Bidder must also provide a description of the authorization process for MasterCard, Visa, Discover and American Express branded cards, identifying the method for processing the authorizations, including voice authorization and the expected timeframe for processing/receiving authorizations by device type. Include a description of the authorization process for Recurring and Preauthorized Payment transactions. Describe by device type the information that will be provided back to Authorized User for authorized and declined transactions, including a listing of the declination codes.

ii. The data capture (for all four card types) and settlement process (for MasterCard, Visa and Discover) transactions including the expected timeframe for submitting transactions to the MasterCard, Visa and Discover networks and crediting investable funds into the account(s) designated by the Authorized User and the ability to provide individual or aggregated transfers to one or more accounts as established by the Authorized User. Include a description of the data capture and settlement process for Recurring and Preauthorized Payment transactions, Settlement and Close-out procedures including but not limited to the following:1. Whether terminals are automatically batch closed at a predetermined time, or if they are

manually closed, or both.2. Whether settlement amounts can be listed separately for each Credit/Charge Card and On-

line Debit Card network on the bank statement or as a lump sum.iii. Transaction Posting Procedures including but not limited to the following:

1. The levels of detail available and how the Bidder proposes to reconcile transactions.2. The ability and mechanism for reconciling transactions to summary report information.3. The nature and timing of the confirmation that the Authorized User will receive upon

presentation of an electronic payment (i.e., does the Bidder have same day, on-line, reporting capability by following level of detail: individual device number, batch level, total or consolidated, and individual transactions by the Authorized User Unique Field).

iv. The procedures for detecting, tracking, reporting and resolving duplicate, erroneous or contested payments.

v. The procedures for preventing, detecting and reporting fraudulent payments, including conditions under which Authorized User may deviate from Association rules governing non-discrimination of card acceptance.

vi. If Interchange Pass Through Fees or other fees are charged to the Authorized User for declined transactions and for zero amount transactions.

Response

Page 998/12/11


VI.2.A.5.b.Mandatory

Technical Requirement – Applications and SetupSpecificationDescribe any application or setup procedures that an Authorized User must complete with either the Contractor or third parties in order to initiate transactions under a Payment Program.

Response

VI.2.A.6Mandatory

Technical Requirement – Chargeback, Refund and AdjustmentSpecificationThe Bidder must describe the following information (including appropriate sections of Association Rules, diagrams and forms as appropriate):

a. The record keeping responsibility of Authorized User for face-to-face and non-face-to-face transactions including the type of information to be retained, method of storing data, and the length of time it must be retained, by device type;

b. The options available for having the Contractor retain information and records on behalf of Authorized User to address Chargebacks, refunds and adjustments and having the Contractor address Chargebacks with the various Credit/Charge Card Associations on behalf of Authorized User using the retained information and records including paper, electronic receipt capture and captured onscreen signatures;

c. The resolution process to be followed including, identifying the role of each entity involved in the process and the required timeframes for responding to requests;

d. The ability of the Contractor to utilize the Authorized User Unique Field to address Chargebacks;

e. When a transaction is considered final and maximum timeframes for Authorized User retaining records;

f. The various steps involved in handling a disputed transaction. The outline must reflect the actions and responsibilities of the card holder, card issuer, accepting financial institution, the Contractor and the Authorized User;

g. The notice or advice provided for Chargebacks, refunds and adjustments; h. The maximum time limit for a research request by the Authorized User.

Response

Page 1008/12/11


VI.2.A.7.a.Mandatory

Technical Requirement – Transaction Reports and InquiriesSpecificationIt is anticipated that in most cases daily and monthly reporting will be necessary to provide the information needed to post settled funds to the appropriate account(s) and to reconcile deposits. It is important that the Bidder demonstrate its flexibility and capability of providing varied report formats to meet the needs of an Authorized User (e.g., including additional data such as the Authorized User Unique Field). The Bidder must describe its transaction reporting process and the types of reports it can provide, including mandatory daily and monthly reports for the following types of transactions: MasterCard, Visa and Discover Credit/Charge Cards, and On-line and Off-line Debit Cards. The Bidder must indicate what services will be provided to support the reporting of transactions for American Express branded cards. When applicable it is preferred that reporting functions for these cards be provided in reports consolidated with other FSP transactions. In these descriptions, the Bidder should demonstrate its flexibility and capability to address the varying requirements and reporting needs, including, but not limited to, the following:

The method for making reports available to OGS, EVTA, and Authorized User (e.g., printed, on-line). Accessibility to reports (e.g. through secure Internet applications) including access requirements (e.g.,

hardware and software requirements, methods of identifying specific transactions), and access to historical data (i.e., data retention).

The timing for providing such reports (i.e., daily/monthly reports will be delivered or made available by what time).

The services available to Authorized Users to support inquiries regarding individual transactions.

Response

Page 1018/12/11


VI.2.A.8.bVI.2.A.8.c.Mandatory

Technical Requirement – Summary Reports for Control AgenciesSpecificationThe Contractor will be required to provide summary reports to control agencies for purposes of supporting program monitoring, benchmark adjustments, etc.

Fraud ReportingThe Bidder should identify the method and procedures for reporting fraud including detection, prevention etc. and as applicable provide sample reports.

Semi-Annual ReportingThe Contractor shall provide sales reports within thirty (30) days of the close of the semi-annual period. Semi-annual periods will end on December 31st and June 30th of each year. If the contract period begins or ends in a fractional portion of a reporting period only the actual contract sales for this fractional period should be reported in that semi-annual report.

OGS sales report: Contractor shall electronically provide the State with verified semi-annual reports in the format required by the State showing the dollar volume of any and all sales under this Contract for the prior six-month period. Said report shall include a break out of participation by individual Authorized Users, including State and non-State governmental entities and others authorized by law. In the event that a Contractor utilizes subcontractors, it is the responsibility of Contractor to include all Contract revenues from these participants in the semi-annual report. Where third party Product is offered and delivered under this Contract, Contractor shall be required to separately report such sales volume on a semi-annual basis to the State.

The State shall have the right to verify said report and to take any action(s) necessary to enforce its rights under this paragraph. These rights include, but are not limited to:

the right to stop payments until such reports are received; the right to audit Contractor’s applicable Contract books; the right to substitute, in its sole judgment, a good faith estimate of Contract usage upon

failure of Contractor to deliver said report as required, where pricing is based upon aggregate volume, and

the right to terminate the Contract for cause or seek other judicial relief.

The Contractor shall submit summary reports to OGS, Procurement Services Group, Corning Tower, 38th Floor, Empire State Plaza, Albany, NY 12242, no later than the 15th of the month following the close of the year identified by OGS. Purchases by political subdivisions and others authorized by law shall be reported separately at that time.

Response

Page 1028/12/11


VI.2.A.8.d.Desirable

Technical Requirement – Ad-Hoc ReportsSpecificationThe Bidder should provide a summary of Bidder’s ability to provide ad-hoc reports within a reasonable time period at no additional charge.Response

VI.2.A.9.Desirable

Technical Requirement – Additional Services (other than FSP)SpecificationThe response should include a summary of the Bidder’s ability to provide the following additional services, and a description of those services that the Bidder is able to provide:a.Voice data capture (e.g., enabling small volume Authorized Users to process credit/charge cards and off-line

debit card transactions via the telephone without requiring manual follow-up with paper transaction documentation).

b.Address Verification (e.g., provide Authorized Users with the option to perform address verifications for authorizing credit/charge cards and off-line debit card transactions).

c.Processing of international Credit/Charge Card and Off-line Debit Card transactions.d.Services related to reprogramming of Authorized Users Transaction Interfaces (i.e., point-of-sale terminals,

peripheral devices and software packages).e.Other additional services.Response

Page 1038/12/11


VI.2.B.1.a.iMandatory

Technical Requirement – Type I POS TerminalsSpecificationDescribe the types of point-of-sale (POS) terminals that the Bidder will provide. Include in the description the functional attributes of the terminals offered (e.g., capacity, transmission speed, functionality of embedded software), their condition (e.g., new, refurbished) and any supplies required. All bulleted requirements other than those marked as “Desirable” must be addressed.

Type I POS Terminals

Stand alone POS terminals which are configured to process Credit/Charge Cards and are capable or upgradable to support On-line Debit Card processing. Type I POS terminals include . Hypercom products – Optimum T4200 series, VeriFone products Vx 500 series and Nurit 8400 or equivalent.

Bidder is to provide information on the availability of Type I POS terminals that include the following: Nothing Integrated – supports items below as peripherals Integrated PIN pad for On-line Debit Card processing (Mandatory) Integrated printer (Mandatory) Integrated Signature pads for Electronic Signature Capture (Desirable) Integrated Contactless Payment reader (Desirable) Integrated Check reader (Desirable)

Response

IV.2.B.1.a.iiMandatory

Technical Requirement – Type II POS TerminalsSpecificationType II POS Terminals

Hand Held Terminals which can be integrated with other POS terminals, electronic cash registers and local area networks, are configured to process Credit/Charge Cards and are capable, or upgradable to support On-line Debit Card processing. Type II POS Terminals include Hypercom products – Optimum M4200, VeriFone products Vx

570 & Nurit 8210 or equivalent. Bidder is to provide information on the availability of Type II POS terminals that include the following: Integrated PIN pads for On-line Debit Card processing (Mandatory) Integrated printer (Mandatory) Integrated Signature pads for electronic signature capture (Desirable) Integrated Contactless Payment reader (Desirable) Integrated Check reader (Desirable)

Page 1048/12/11


Response

VI.2.B.1.a.iiiMandatory

Technical Requirement – Type III POS TerminalsSpecificationThe Bidder must provide wireless POS terminals that are configured to process Credit/Charge Cards, including the following or any combination of the following:

Integrated PIN pad for On-line Debit Card processing (Mandatory) Integrated printer (Mandatory) Integrated Signature pad for electronic signature capture (Desirable) Integrated Contactless Payment reader (Desirable)

Response

Page 1058/12/11


VI.2.B.1.b.Mandatory

Technical Requirement - SuppliesSpecificationDescribe the hardware supplies (for both POS terminals and peripheral devices), which the Bidder will provide, include a description of order fulfillment timeframes and the ability of the Bidder to accept preorders. Indicate which supplies will be provided for no additional fee when the associated hardware is purchased (the cost for all supplies is assumed to be included with leased and rented equipment). Response

VI.2.B.1.e.Mandatory

Technical Requirement - WarrantySpecificationProvide warranty information and the warranty period for each of the POS terminals and peripheral devices, which the Bidder is proposing to provide including the initial and extended terms. Indicate warranties that will be provided for no additional fee when the hardware is purchased, leased and rented.Response

Page 1068/12/11


VI.2.B.1.c.Mandatory

Technical Requirement – MaintenanceSpecificationThe Bidder must provide a toll-free number for maintenance assistance (the Bidder should describe their help-desk services in response to Section VI.2.C.2, Help-Desk Services. The Bidder must repair or replace Transaction Interface hardware within 24 hours and provide next business day on-site assistance as needed. Describe the maintenance services associated with the POS terminals and peripheral devices that the Bidder is proposing to provide. Information should include, but not be limited to:

preventative maintenance procedures, average response time to a remedial maintenance request, average on-site repair time for devices, procedures and time frames for utilizing replacement equipment, number of service staff available, and experience of services staff

Indicate maintenance services that will be provided for no additional fee when the hardware is purchased, leased and rented.

Response

VI.2.B.1.d.Desirable

Technical Requirement – CreditsSpecificationDescribe the Bidder’s credit policy for Transaction Interfaces purchased by Authorized Users and returned toward the purchase of upgraded Transaction Interfaces.

Response

Page 1078/12/11


VI.2.B.2.aMandatory

Technical Requirement – Software Functionality and FeaturesSpecificationBidder must provide a description of each software product that will be made available, including:Software Functionality and FeaturesThe Bidder must describe the offered software product(s) and their functionality and features (e.g., processing capabilities, data-entry verification, ability to support additional fields, etc.) for each of the following payment devices:

i. Credit/Charge Cards and Offline Debit Cards (Mandatory) Authorization, Capture and Settlement Online and Batch Processing

ii. Credit/Charge Cards, Offline Debit Cards and Online Debit Cards (Desirable)1. Online Transaction Status Inquiry2. Online Reporting

iii. Other Electronic Payment Applications (e.g. Contactless Cards) (Desirable) Authorization, Capture and Settlement Online and Batch Processing Online Transaction Status Inquiry Online Reporting

Response

VI.2.B.2.b.Mandatory

Technical Requirement – Software Environment and System RequirementsSpecificationThe Bidder must identify the supported environments and system requirements (i.e., minimum recommended hardware configurations for each software product offered for each of the following environments:

i. PC-Based Applications (e.g., Windows , Macintosh, other)ii. Networked Users (e.g., NT based, UNIX, Macintosh, other)iii. Internet Website Softwareiv. Self–hosted website transaction support (i.e., enable an Authorized User to offer transactions over the

Internet)v. Hosting service website transaction support (i.e., enable an Authorized User that hosts multiple websites to

offer transactions for each of the hosted websites)vi. Bidder must be able to interface with IBM MQ series software.

The Bidder is required to provide one full set of documentation (i.e., installation documentation, detailed operation and user documentation and user guide) and sales literature to augment the information provided in this section. The Bidder must indicate which software will be provided for no fee.

Response

Page 1088/12/11


VI.2.B.2.c.

Desirable

Technical Requirement – Software Products SpecificationIf any software will be provided, other than through and Internet application, describe the software offerings available to Authorized Users for each software product to be provided by the Bidder. It is anticipated that site licenses will be preferred by the majority of Authorized Users. For the purposes of the Contract, “site” is defined by a physical location (e.g., building, street address, etc.) which houses computer systems operated by or on behalf of the Authorized User. Although site licenses are the anticipated choice, the Bidder is required to provide technical information on other types of licenses they offer including: individual PC licenses, multiple PC license(s) and concurrent user based licenses. Each type of software license must provide, at no additional charge, the ability to:

relocate software to a new site designated by the Authorized User at its discretion, utilize the software for all work processed at the Authorized User’s designated site, test software at a disaster recovery site without Contractor pre-authorization, and transfer software rights and contract terms and conditions to another Authorized User for purposes of

consolidating workloads.

Response

VI.2.C.1.a. and b.Mandatory

Technical Requirement – TrainingSpecification

a. Implementation Training

The Bidder must describe the types of training to be made available to Authorized User throughout the term of the Contract related to implementation of Payment Programs developed using the Contract. This description should include training for:

i. Installation and use of Transaction Interface hardware provided by the Bidder.ii. Installation and use of Transaction Interface software provided by the Bidder.

Descriptions should include, but not be limited to, the following components: scope and length of sessions, setting (e.g., on-site, off-site, teleconferencing, video-conferencing, Internet-based), and curriculum. The Bidder must describe any training materials that will be made available to Authorized User. The fee for providing this training, including materials, is presumed to be included in the FSP fees.

Response

Page 1098/12/11


IV.2.C.1.a.Mandatory

Technical Requirement – TrainingSpecification

b. On-Going Training

The Bidder must describe the types of standard and additional on-going Financial Services Processing and Transaction Interface training to be made available to Authorized User throughout the term of the Contract. Standard on-going training is any post-implementation training made available to Authorized User for no additional fee. Additional on-going training is any post-implementation training made available to Authorized User for an additional fee. These descriptions should include, but not be limited to, the following components: scope and length of sessions, setting (e.g., on-site, off-site, teleconferencing, video-conferencing, Internet, etc.) and curriculum. The Bidder must describe any training materials that will be made available to Authorized User.

The fee for additional ongoing training, including materials, will be negotiated between the Contractor and the Authorized User, except in no case may the fee exceed the Contractor’s standard fees. The Authorized User will be responsible for all travel related costs up to the approved New York State rates.

Response

VI.2.C.1.c.Mandatory

Technical Requirement – User Manuals and System DocumentationSpecification

The Bidder must provide each Authorized User with the necessary user manuals and system documentation related to Financial Services Processing and Transaction Interfaces at no additional cost. The Bidder must describe the user manuals and system documentation that will be made available to Authorized User.

Response

Page 1108/12/11


VI.2.C.2.Mandatory

Technical Requirement – Help Desk Services and SupportSpecificationThe Bidder must provide Help Desk Services for Authorized Users on a twenty-four (24) hours per day, seven (7) days per week basis, including holidays, in order to address all Authorized User customer assistance needs and technical issues for submitting electronic payment transactions, including assistance with Transaction Interfaces. The Authorized User assistance line(s) must be a toll free number(s) which provides direct assistance, intake service with follow-up resolution and requests for escalated assistance. Additionally, the Contractor must maintain and provide each Authorized User with a list of the names and business phone numbers of the customer assistance staff (e.g., Contract Manager, Technical Assistant, Customer Assistant) to be available during normal business hours.

i. The Bidder must describe the system to be used in providing Help Desk Services to Authorized Users. This description should include but not be limited to: access to the system, number of lines available and staffing levels and experience, blockage rates and not to exceed times on hold.

ii. The Bidder must describe the Help Desk Services to be made available to Authorized Users. This description must include the Credit/Charge Card transaction authorization, verification and inquiry services for Bidder provided Transaction Interfaces (Hardware and Software) and all other customer assistance services.

iii. The Bidder must identify the types of issues the Help Desk can respond to on a twenty-four (24) hours per day, seven (7) days per week basis and the anticipated average response time for each of these issues. Transaction authorization and verification must be available on a twenty-four hours per day, seven (7) day per week basis, including holidays.

iv. The Bidder must identify if intake is performed by Help Desk staff or a voice mail intake system.

v. The Bidder must provide the key administrative staff available to OGS and EVTA.

vi. Describe any additional Help Desk Services or other assistance available to Authorized User at no additional cost.

Response

Page 1118/12/11


VI.2.C.3.a.Mandatory

Technical Requirement – MarketingSpecificationThe Bidder must describe the services that will be made available to Authorized Users for promoting and marketing electronic payment programs to Device Users including the provision and use of signage logos, inserts for mailings, etc.Response

VI.2.D.2.Mandatory

Technical Requirement - InvoicingSpecificationUnless otherwise agreed upon in the Implementation Plan, all fees for Financial Processing Services and Transaction Interfaces must be separately invoiced on a monthly basis to each participating Authorized User. Note: see Appendix B, clauses 62 - 64. Unless otherwise agreed upon, fees may not be deducted from settlement proceeds for Authorized User using the Contract.

The Bidder must describe the invoicing process and provide examples of invoices for Financial Processing Services and Transaction Interfaces. Invoices should include at least the following level of detail:

a. Financial Services Processing (provided at Merchant ID level for each Authorized User)i. Detailed Transaction Invoicing Credit/Charge Cards and Off-Line Debit Cards, identify transactions by

card type and the associated Interchange Pass Through Fees, Authorization, Processing, and Additional Services fees, and any additional fees.

ii. On-Line Debit Cards, identify the number of transactions by network and the associated fee.iii. Other Financial Services Processing fees including help desk, training, marketing, supplies, etc.

b. Transaction Interfaces, Hardware (provided at Merchant ID level for each Authorized User)i. Point-of-Sale Terminals, identify the number of units and associated purchase, lease or rental fee and

any other services provided including warranties and the associated fees, including any applicable quantity discounts.

ii. Peripheral Devices, identify the number of units and associated purchase, lease or rental fee and any other services provided including warranties and the associated fees, including any applicable quantity discounts.

iii. Supplies, identifying the number of units and associated fees.c. Transaction Interfaces, Software (provided at Merchant ID level for each Authorized User)

i. Single User PC or Other Platform Based software, identify the number of units and associated licensing, upgrade and other services and the associated fees, including any applicable quantity discounts.

ii. Networked User PC or Other Platform Based software, identify the number of units and associated licensing, upgrade and other services and the associated fees, including any applicable quantity discounts.

iii. Website Software, identify the number of units and associated licensing, upgrade and other services and the associated fees, including any applicable quantity discounts.

Transaction Interfaces, Training.

Page 1128/12/11


Response

VI.2.D.3.C.1.a.Mandatory

Technical Requirement – Security PlanSpecification

a. The Bidder must affirm that Bidder has a Security Plan in place for Contract start date that will be utilized to ensure the anonymity of Device User information and that access to such information is controlled and restricted to authorized personnel only, as well as procedures to secure point-of-sale terminals, transactions on the Internet, transaction receipts and sale reports.

b. Provide a description of pre-employment verification procedures, employment agency screening and security awareness training for employees;

c. Provide a list and description of relevant security software, including data encryption;d. Provide administrative rules relative to security of data.

Response

VI.2.D.3.C.2.Mandatory

Technical Requirement – Fraud PreventionSpecificationThe Bidder must identify the methods used to detect report and prevent fraud, theft, and all other security breaches, including examples of detection reports of unauthorized attempts.Response

Page 1138/12/11


VI.2.D.3.C.3.Mandatory

Technical Requirement – Internal Control PlanSpecificationThe Bidder must affirm in the bid that Bidder has an Internal Control Plan that shall include checks and balances for all aspects of the services provided; including internal controls for all automated and manual processes and controls to protect against unauthorized access to personal information.Response

VI.2.D.C.4.Mandatory

Technical Requirement – Business Continuity/Disaster RecoveryThe Bidder must provide with the bid an attestation that it has in place a comprehensive Business Continuity/Disaster Recovery Plan (Plan) to provide alternative processing arrangements for all services in the event of a short-term business interruption and/or long-term loss of processing capacity at the Bidder’s processing site. Bidder acknowledges that OGS reserves the right to review a copy of the Plan should it be deemed necessary,

In order to be considered a comprehensive Business Continuity/Disaster Recovery Plan, the Plan must meet certain minimum requirements and the Bidder must attest that the Plan meets these requirements. The Plan must incorporate all alternate facilities, equipment, telecommunications lines, staff or other resources required to ensure continuity of services required pursuant to this RFP which are interrupted for any length of time by a disaster or other unforeseen event. The Plan must encompass all recovery activities, from the initial event interrupting operations, through transitions of operations to alternate site(s) and restoration of the original operating site and include a flow chart of the disaster recovery mechanism. The Plan must address how the Security and Confidentiality requirements pursuant to Section IV.2.D.3 above are maintained during the relocation of operations to an alternate site(s), at the alternate sites(s) and during restoration of the original operating site(s). The Plan must also address the following:

a) Recovery of transaction affected by the disaster; b) Contingency plan for a telecommunications failure on the primary network; andc) Locations of the alternate sites.

Further, Bidder must provide responses to following questions regarding its Plan.

d) The length of time a disaster would make their services unavailable.e) Whether they have a site to which they can transfer the processing, and whether the site

is cold, warm, or hot.f) The recovery priority New York State will receive. g) The exact transaction point or location at which disaster recovery is

the Contractor’s responsibility, and at which point or location if any, the disaster recovery is the responsibility of the Authorized User.

To the extent the successful Bidder updates the Business Continuity/Disaster Recovery Plan as required to reflect technological, system or other changes, the successful Bidder must provide OGS or its designee with updated information, as appropriate or requested.

Page 1148/12/11


Response

VI.2.D.C.5.Mandatory

Technical Requirement – Implementation Plan

SpecificationAs Authorized User implements electronic payment processing systems utilizing Financial Services Processing and Transaction Interfaces, the Contractor must agree to work with each Authorized User to develop mutually agreed upon Implementation Plans which specify all Financial Services Processing rates, Transaction Interface deliverables and rates, the timetable for deliverables, acceptance testing criteria and procedures and training for new and enhanced applications. If an Authorized User requires processing procedures that are not supported by Credit/Charge Card, Off-line & On-line Debit Card, Association or governing body rules or guidelines, the Contactor must work with the Authorized User to seek approval from such Association or governing body for such procedures, and upon approval, agree to process electronic payments under such alternative procedures. The Contractor must also provide Implementation Plans, with estimated timeframes, for start up and conversion of new and/or existing applications.

a. Information must be included in the Bid response affirming the Bidder’s intent to work with each Authorized User and/or their existing contractors to set up a plan for initial and continuing training consultation, and installation of Transaction Interfaces as required by the individual Authorized User’s needs and timeframes.

b. The Bidder must include in their Bid response a description of their standard methodology for implementation and expansion of small, medium and large Electronic Value Transfer Payment Programs.

c. The Bidder must describe in their Bid response, its capacity to implement Payment Programs, indicating the expected timeframe for implementing various sized programs and its capacity to implement multiple programs.

d. The Bidder must affirm in their Bid response to work with the Authorized User in seeking approval from Associations and governing bodies for alternative procedures, and if approved, to process electronic payments under such alternative procedures.

Response

Page 1158/12/11


This page intentionally left blank

Page 1168/12/11


CONFLICTING ASSSOCIATION RULES TABLE

The table below is provided for any known conflicts between Card Association rules and requirements of this RFP. When completing this table, include the Association rule in question and the corresponding RFP

requirement by RFP Section and number.

ASSOCIATION

(MC, Visa, Discover, Debit Card, etc.)

ASSOCIATION RULE RFP REQUIREMENT RFP Section &

Number

NATURE OF CONFLICT SUGGESTED ALTERNATIVE LANGUAGE

OR OTHER COMMENT

Page 1178/12/11


This page left intentionally blank

This page left intentionally blank

Page 1188/12/11


Group 79008 Bank Card ServicesElectronic Value Transfer

Request for Proposal # 22325

BID PROPOSAL COVER SHEET

PART II – FINANCIAL REQUIREMENTS*** Important - Failure to Furnish All Required Information may render the Bid Non-Responsive ***

Bidder’s Legal Name: ________________________________________________

Bidder’s Federal Identification No.: _____________________________________

Name of Preparer: __________________________________________________

Telephone Number of Preparer:

__________________________________________

Signature:____________________________________

Name:_______________________________________

Title:_________________________________________

CORPORATE ACKNOWLEDGMENT

STATE OF : ss.:

COUNTY OF

On the _____________ day of ______________________in the year _____ , before me personally came: _______________________________________________________________, to me known, who, being by me duly sworn, did depose and say that he/she/they reside(s) in _________________________; that he/she/they is (are) _____________________________________________ (the President or other officer or director or attorney in fact duly appointed) of ___________________________________________, the corporation described in and which executed the above instrument; and that he/she/they signed his/her/their name(s) thereto by authority of the board of directors of said corporation.

________________________________________________Notary Public

Page 1198/12/11

Documents

· Web view, to me known, who, being by me duly sworn, did depose and say that he/she/they reside(s) in _________________________; that he/she/they is (are) _________________________________

· Web view, to me known, who, being by me duly sworn, did depose and say that he/she/they reside(s) in _; that he/she/they is (are) _________